| NPI | 1023768785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN STONE Owner 973-897-9924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2022-03-25 |